Organization Active NPI

Mediclink Management Group

  • Family Medicine Physician
  • Southlake, TX
National Provider Identifier
1013391184
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICLINK MANAGEMENT GROUP
Practice address
415 E Southlake Blvd Ste 100
Southlake, TX 76092-6279
Phone
(817) 506-4132
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Arthur L Hohenberger
Title
Sole MBR
Phone
(817) 506-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

415 E Southlake Blvd Ste 100
Southlake, TX 76092-6279

Mailing address

325 Miron Dr Ste 110
Southlake, TX 76092-7829
Phone (817) 506-4132

National Provider Directory

National Provider Directory

Locations

325 Miron Dr
Ste 110
Southlake, TX 76092
Phone (214) 908-4941

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1013391184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MIRON DR STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927829",
            "telephone_number": "817-506-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926279",
            "telephone_number": "817-506-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICLINK MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "HOHENBERGER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "817-506-4132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.